BusinessOperations - Provider Data Management Analyst 1 - 111458

The company is seeking a Provider Data Management Analyst 1 to support provider data operations. The role performs data entry and analysis, validates provider information across systems, updates claims payment and directory data, and resolves data-related issues.

Responsibilities:

• Enroll providers and practitioners into the provider data management system
• Update provider and practitioners with claims payment and directory information
• Research, review, and make updates within the provider data management system per provider requests
• Perform quality service checks on systemic data, inclusive of claims processing and provider directory information
• Perform research and resolve problems as necessary

Requirements:

• Associate's degree, or high school diploma/equivalent and 1+ years of data entry, analysis or customer service experience
• preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting), provider data management, or credentialing in a managed care, insurance, or medical office environment
• Experience performing data analysis in Excel or similar tools strongly preferred
• Preferred: Diploma/GED/Some college coursework/Degree
• Preferred 1-2 years